儿童声带颗粒细胞瘤2例临床特征分析OACSTPCD

Objective:To analyze the clinical characteristics of granulosa cell tumor(GCT)in the vocal cords in children.Methods:The clinical data of 2 children with vocal cord GCT admitted to the Second Affiliated Hospi-tal of Xi'an Jiaotong University from January 2013 to December 2023 were retrospectively analyzed.Results:Case 1,a 6-year-old female,was admitted with a chief complaint of vocal weakness for over 3 months.Under la-ryngoscopy,diffuse swelling was observed beneath the glottis.Enhanced CT of the neck indicated low-density nodules below the anterior commissure and progressive enhancement.The patient underwent CO2 laser resection under general anesthesia with a supportive laryngoscope,and the postoperative pathological diagnosis was GCT.The patient underwent follow-up examinations at 1 month and 2 years after surgery,and no recurrence of tumor was found,only local scars formed in the laryngeal cavity without obvious adhesions and with good glottal clo-sure.Case 2,an 11-year-old female,was admitted with a chief complaint of hoarseness for over 6 months.Under laryngoscopy,a smooth mass was observed in the anterior commissure.Enhanced CT and MRI of the neck showed a nodular with enhancement in the anterior commissure.The patient underwent CO2 laser resection under general anesthesia with a supportive laryngoscope.The postoperative pathological diagnosis was GCT.Follow-up examinations at 2 weeks and 1 year after surgery showed no recurrence of tumor but scar formation under the glottis with good glottal closure.Conclusion:GCT of the vocal cords in children often presents with disordered voice production,which requires to be confirmed by pathological diagnosis.Surgical resection is the main treat-ment method,and close follow-up should be paid attention to after surgery.